<ul><li>Oversee day-to-day operations related to TPA services, ensuring efficient and accurate processing of insurance claims and reimbursements.</li><li>Develop and implement strategies to streamline TPA processes and improve operational efficiency.</li><li>Ensure timely and accurate submission of insurance claims and follow-ups on pending claims.</li><li>Handle escalations and resolve issues related to claims, approvals, or rejections.</li><li>Act as the primary point of contact between the healthcare organization, insurance companies, and TPAs.</li><li>Build and maintain strong relationships with insurance providers, clients, and vendors to ensure smooth collaboration and service delivery.</li><li>Monitor and manage contracts with TPA companies, ensuring compliance with agreed terms and conditions.</li></ul>

TPA Manager